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Methangkool E, Slade IR, Rangrass G, Harbell M. Best practices for addressing adverse event analysis: a scoping review. Int Anesthesiol Clin 2024; 62:16-25. [PMID: 38282451 DOI: 10.1097/aia.0000000000000432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2024]
Affiliation(s)
- Emily Methangkool
- Department of Anesthesiology, Olive View-UCLA Medical Center, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California
| | - Ian R Slade
- Department of Anesthesiology & Pain Medicine, University of Washington School of Medicine, Seattle, Washington
| | - Govind Rangrass
- Department of Anesthesiology, St. Louis University School of Medicine, St. Louis, Missouri
| | - Monica Harbell
- Department of Anesthesiology, Mayo Clinic Arizona, Phoenix, Arizona
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Maassen S, van Oostveen C, Weggelaar AM, Rafferty AM, Zegers M, Vermeulen H. Measuring the work environment among healthcare professionals: Validation of the Dutch version of the Culture of Care Barometer. PLoS One 2024; 19:e0298391. [PMID: 38421985 PMCID: PMC10903908 DOI: 10.1371/journal.pone.0298391] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Accepted: 01/23/2024] [Indexed: 03/02/2024] Open
Abstract
OBJECTIVES A positive work environment (WE) is paramount for healthcare employees to provide good quality care. To stimulate a positive work environment, employees' perceptions of the work environment need to be assessed. This study aimed to assess the reliability and validity of the Dutch version of the Culture of Care Barometer (CoCB-NL) survey in hospitals. METHODS This longitudinal validation study explored content validity, structural validity, internal consistency, hypothesis testing for construct validity, and responsiveness. The study was conducted at seven departments in two Dutch university hospitals. The departments were included based on their managers' motivation to better understand their employees' perception of their WE. All employees of participating departments were invited to complete the survey (n = 1,730). RESULTS The response rate was 63.2%. The content of the CoCB-NL was considered relevant and accessible by the respondents. Two factor models were found. First, confirmative factor analysis of the original four-factor structure showed an acceptable fit (X2 2006.49; df 399; p = <0.001; comparative fit index [CFI] 0.82; Tucker-Lewis index [TLI] 0.80; root mean square error of approximation [RMSEA] 0.09). Second, explanatory factor analysis revealed a five-factor model including 'organizational support', 'leadership', 'collegiality and teamwork', 'relationship with manager', and 'employee influence and development'. This model was confirmed and showed a better fit (X2 1552.93; df 395; p = < 0.00; CFI 0.87; TLI 0.86; RMSEA 0.07). Twelve out of eighteen hypotheses were confirmed. Responsiveness was assumed between the measurements. CONCLUSIONS The CoCB-NL is a valid and reliable instrument for identifying areas needing improvement in the WE. Furthermore, the CoCB-NL appears to be responsive and therefore useful for longitudinal evaluations of healthcare employees' work environments.
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Affiliation(s)
- Susanne Maassen
- Department of Quality and Patientcare, Erasmus MC, University Medical Center, Rotterdam, The Netherlands
- TRANZO, Tilburg University, Tilburg, The Netherlands
| | - Catharina van Oostveen
- Erasmus School of Health Policy & Management, Erasmus University, Rotterdam, The Netherlands
- Spaarne Gasthuis Academy, Spaarne Gasthuis Hospital, Hoofddorp, Haarlem, The Netherlands
| | | | - Anne Marie Rafferty
- Florence Nightingale Faculty of Nursing and Midwifery & Palliative Care, King’s College London, London, United Kingdom
| | - Marieke Zegers
- Department of Intensive Care, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Hester Vermeulen
- Radboud Institute for Health Sciences, Scientific Center for Quality of Healthcare (IQ healthcare), Radboud University Medical Center, Nijmegen, The Netherlands
- Faculty of Health and Social Studies, HAN University of Applied Sciences, Nijmegen, The Netherlands
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Tran Y, Ellis LA, Clay-Williams R, Churruca K, Wiig S. Editorial: Occupational health and organizational culture within a healthcare setting: challenges, complexities, and dynamics. Front Public Health 2023; 11:1327489. [PMID: 38074702 PMCID: PMC10703430 DOI: 10.3389/fpubh.2023.1327489] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2023] [Accepted: 11/01/2023] [Indexed: 12/18/2023] Open
Affiliation(s)
- Yvonne Tran
- Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, Sydney, NSW, Australia
| | - Louise A. Ellis
- Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, Sydney, NSW, Australia
| | - Robyn Clay-Williams
- Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, Sydney, NSW, Australia
| | - Kate Churruca
- Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, Sydney, NSW, Australia
| | - Siri Wiig
- SHARE – Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway
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Membrillo-Pillpe NJ, Zeladita-Huaman JA, Jauregui-Soriano K, Zegarra-Chapoñan R, Franco-Chalco E, Samillan-Yncio G. Association between the Nursing Practice Environment and Safety Perception with Patient Safety Culture during COVID-19. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:ijerph20105909. [PMID: 37239635 DOI: 10.3390/ijerph20105909] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Revised: 05/04/2023] [Accepted: 05/12/2023] [Indexed: 05/28/2023]
Abstract
AIMS In this study, we aimed to identify the relationship between nursing practice environments (NPEs) and safety perceptions with patient safety culture (PSC) during COVID-19. DESIGN We conducted a quantitative, non-experimental, correlational, and cross-sectional study. We interviewed 211 nurses from Peru using two scales: PES-NWI and HSOPSC. We used the Shapiro-Wilk test and Spearman's coefficient and estimated two regression models. RESULTS NPE was reported as favorable by 45.5% of the participants, and PSC was reported as neutral by 61.1%. Safety perception, the workplace, and NPE predict PSC. All NPE factors were correlated with PSC. However, safety perception, support of nurses subscale, the nurse manager's ability, and leadership were predictors of PSC. CONCLUSION To promote a safe work culture, health institutions should foster leadership that prioritizes safety, strengthens managers' abilities, encourages interprofessional collaboration, and considers nurses' feedback for constant improvement.
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Affiliation(s)
| | - Jhon Alex Zeladita-Huaman
- Academic Department of Nursing, Faculty of Medicine, Universidad Nacional Mayor de San Marcos, Lima 15001, Peru
| | | | | | | | - Gabriela Samillan-Yncio
- Academic Department of Nursing, Faculty of Medicine, Universidad Nacional Mayor de San Marcos, Lima 15001, Peru
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Vikan M, Haugen AS, Bjørnnes AK, Valeberg BT, Deilkås ECT, Danielsen SO. The association between patient safety culture and adverse events - a scoping review. BMC Health Serv Res 2023; 23:300. [PMID: 36991426 DOI: 10.1186/s12913-023-09332-8] [Citation(s) in RCA: 11] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2022] [Accepted: 03/23/2023] [Indexed: 03/31/2023] Open
Abstract
BACKGROUND Adverse events (AEs) affect 10% of in-hospital patients, causing increased costs, injuries, disability and mortality. Patient safety culture (PSC) is an indicator of quality in healthcare services and is thus perceived as a proxy for the quality of care. Previous studies show variation in the association between PSC scores and AE rates. The main objective of this scoping review is to summarise the evidence on the association between PSC scores and AE rates in healthcare services. In addition, map the characteristics and the applied research methodology in the included studies, and study the strengths and limitations of the evidence. METHODS We applied a scoping review methodology to answer the broad research questions of this study, following the PRISMA-ScR checklist. A systematic search in seven databases was conducted in January 2022. The records were screened independently against eligibility criteria using Rayyan software, and the extracted data were collated in a charting form. Descriptive representations and tables display the systematic mapping of the literature. RESULTS We included 34 out of 1,743 screened articles. The mapping demonstrated a statistical association in 76% of the studies, where increased PSC scores were associated with reduced AE rates. Most of the studies had a multicentre design and were conducted in-hospital in high-income countries. The methodological approaches to measuring the association varied, including missing reports on the tools` validation and participants, different medical specialties, and work unit level of measurements. In addition, the review identified a lack of eligible studies for meta-analysis and synthesis and demonstrated a need for an in-depth understanding of the association, including context complexity. CONCLUSIONS We found that the vast majority of studies report reduced AE rates when PSC scores increase. This review demonstrates a lack of studies from primary care and low- and- middle-income countries. There is a discrepancy in utilised concepts and methodology, hence there is a need for a broader understanding of the concepts and the contextual factors, and more uniform methodology. Longitudinal prospective studies with higher quality can enhance efforts to improve patient safety.
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Affiliation(s)
- Magnhild Vikan
- Department of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway.
| | - Arvid Steinar Haugen
- Department of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway
- Department of Anaesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway
| | - Ann Kristin Bjørnnes
- Department of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway
| | - Berit Taraldsen Valeberg
- Department of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway
- University of South-Eastern Norway, Drammen, Norway
| | | | - Stein Ove Danielsen
- Department of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway
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Ha TTN, Thanh PQ, Huong TL, Anh VT, Tu NM, Tien PH, Ha BTT. Nurses' perceptions about patient safety culture in public hospital in Vietnam. Appl Nurs Res 2023; 69:151650. [PMID: 36635007 DOI: 10.1016/j.apnr.2022.151650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Revised: 09/27/2022] [Accepted: 12/06/2022] [Indexed: 12/15/2022]
Abstract
AIM This paper is aimed to assess nurses' perceptions of patient safety culture in four public general hospitals in Hanoi, Vietnam. BACKGROUND Patient safety culture is a vital component in ensuring high quality and safe patient care. Assessment of nurses' perceptions on existing hospital patient safety culture (PSC) is the first step to promote PSC. METHODS The cross-sectional study surveyed 705 nurses utilizing the validated Hospital Survey on Patient Safety Culture (HSOPSC) in an online format. RESULTS The average positive response rate was high at 72.8 % and varied from 52.9 % to 93.4 %. The strongest areas are teamwork within units (93.7 %) and supervisor/manager expectations and actions promoting patient safety (85.0 %). The areas for improvement are staffing (52.9 %) and non-punitive response to error (57.6 %). The communication openness, staffing, frequency of events reported, lengths of services in hospital and unit are significant factors that predict the overall patient safety grade. CONCLUSIONS Initiatives are necessary to improve response to errors, staffing, and error reporting. Nurse managers could develop and implement interventions and program to improve patient safety, including providing education related to patient safety culture, encouraging staff to notify incidents and avoiding punitive responses.
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Affiliation(s)
- Tran Thi Nhi Ha
- Hanoi Department of Health, No 4 Son Tay, Ba Dinh, Hanoi 100000, Viet Nam.
| | - Pham Quoc Thanh
- Hanoi University of Public Health, 1A Duc Thang road, Bac Tu Liem district, Hanoi 100000, Viet Nam.
| | - Tran Lien Huong
- Saint Paul Hospital, No. 12 Chu Van An, Ba Dinh district, Hanoi 100000, Viet Nam
| | - Vu Tuan Anh
- Genetal Hospital of Agricultural, Thanh Tri district, Hanoi 100000, Viet Nam
| | - Nguyen Minh Tu
- Phuc Tho Hospital, Phuc Tho Town, Phuc Tho District, Hanoi 100000, Viet Nam
| | - Pham Hung Tien
- Hanoi University of Public Health, 1A Duc Thang road, Bac Tu Liem district, Hanoi 100000, Viet Nam
| | - Bui Thi Thu Ha
- Hanoi University of Public Health, 1A Duc Thang road, Bac Tu Liem district, Hanoi 100000, Viet Nam
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Ahmed S, Hawarna S, Alqasmi I, Mohiuddin M, Rahman MK, Ashrafi DM. Role of Lean Six Sigma approach for enhancing the patient safety and quality improvement in the hospitals. INTERNATIONAL JOURNAL OF HEALTHCARE MANAGEMENT 2022. [DOI: 10.1080/20479700.2022.2149082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Selim Ahmed
- World School of Business, World University of Bangladesh, Dhaka, Bangladesh
| | - Shatha Hawarna
- School of Business and Quality Management, Hamdan Bin Mohammed Smart University, Dubai, United Arab Emirates
| | - Ibrahim Alqasmi
- Public Health School of Health Sciences, Saudi Electronic University, Riyadh, Saudi Arabia
| | | | - Muhammad Khalilur Rahman
- Faculty of Entrepreneurship and Business, Angkasa-Umk Research Academy, Universiti Malaysia Kelantan, Pengkalan Chepa, Malaysia
| | - Dewan Mehrab Ashrafi
- ULAB School of Business, University of Liberal Arts Bangladesh, Dhaka, Bangladesh
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Rethinking Healthcare Teams’ Practices Using Network Science: Implications, Challenges, and Benefits. APPLIED SCIENCES-BASEL 2022. [DOI: 10.3390/app12125841] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
Healthcare teams act in a very complex environment and present extremely peculiar features since they are multidisciplinary, work under quickly changing conditions, and often stay together for a short period with a dynamically fluctuating team membership. Thus, in the broad discussions about the future of healthcare, the strategy for improving providers’ collaboration and team dynamics is becoming a central topic. Within this context, this paper aims to discuss different viewpoints about the application of network science to teamworking. Our results highlight the potential benefits deriving from network science-enabled analysis, and also show some preliminary empirical evidence through a real case study. In so doing, we intend to stimulate discussions regarding the implications of network science in the investigation and improvement of healthcare teams. The intention is to pave the way for future research in this context by suggesting the potential advantages of healthcare teamwork analysis, as well as recognising its challenges and threats.
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